1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Counselor
  6. NPI Profile

EDWINA DENISE POLK LPC
NPI 1104486117
Counselor in Charlotte, NC

Active since June 20, 2019
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262(704) 320-8766 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edwina Denise Polk Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA DENISE POLK LPC (NPI 1104486117) is an individual counselor in Charlotte, North Carolina, licensed in North Carolina (11379) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1104486117
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameEDWINA DENISE POLKCredential: LPC
Location Address10130 MALLARD CREEK RD STE 300Charlotte, NC 28262-6001
Mailing Address4514 Austin Dekota DrCharlotte, NC 28269-2156 · (704) 320-8766
Phone(704) 320-8766
Sole ProprietorYes
Enumeration DateJune 20, 2019
✔ NPI 1104486117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 11379
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 11379 (NC)
10130 MALLARD CREEK RD STE 300, Charlotte, NC 28262
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRI LYNN TILFORD EDD
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 689-4127
JENNIFER HUGE LCMHCA
Counselor (Professional)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TYLEA WHITE
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3533
TAUSI KIDS FOUNDATION INC
Foster Care Agency
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-5554
SUPPORTING PEOPLE IN NEED - SPIN
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 253-1924
AMBER KIMBLE LCSW
Social Worker (Clinical)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (980) 225-1585
NEW PHASE CHRISTIAN COUNSELING & RESTORATION CENTER,PLLC
Counselor (Mental Health)
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 944-3530
RESTORE MENTAL HEALTH PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
10130 MALLARD CREEK RD STE 300
CHARLOTTE, NC 28262
Mecklenburg County (704) 550-8414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Polk's NPI number?

The NPI number for Edwina Polk is 1104486117. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Edwina Polk located?

Edwina Polk practices at 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262. The listed phone number is (704) 320-8766.

What is Edwina Polk's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Edwina Polk accept?

Health plans from Blue Cross and Blue Shield of NC list Edwina Polk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edwina Polk was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.